How much rates vary
Facilitymedian $5 · 10th to 90th $3 to $34Professionalmedian $3 · 10th to 90th $3 to $41
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3.39 Median $5.13 Typical High $27.54 | Facility | None | $3.39 | $5.13 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $7.94 | Professional | None | $3.39 | $3.39 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 52 · Reduced service | $1.70 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.50 Median $0.51 Typical High $0.51 | Professional | 55 · Aftercare only | $0.50 | $0.51 | $0.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.34 Typical High $0.34 | Professional | 56 · Pre-op care only | $0.34 | $0.34 | $0.34 |
AmeriHealth Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $4.17 | Facility | None | $3.63 | $3.63 | $4.17 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3.16 Median $3.63 Typical High $4.37 | Facility | None | $3.16 | $3.63 | $4.37 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $5.62 Typical High $12.88 | Facility | None | $3.39 | $5.62 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Geisinger Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | None | $3.39 | $3.39 | $3.39 |
Geisinger Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $6.03 | Professional | None | $5.01 | $5.01 | $6.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $17.38 Median $61.66 Typical High $131.83 | Facility | None | $17.38 | $61.66 | $131.83 |
Independence Blue Cross Setting Facility Modifier None Typical Low $5.50 Median $33.88 Typical High $38.90 | Facility | None | $5.50 | $33.88 | $38.90 |
Martin's Point Setting Facility Modifier None Typical Low $3.39 Median $5.13 Typical High $27.54 | Facility | None | $3.39 | $5.13 | $27.54 |
Martin's Point Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $5.13 | Professional | None | $3.39 | $3.39 | $5.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 52 · Reduced service | $1.70 | $1.70 | $1.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.68 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.50 Median $0.51 Typical High $0.51 | Professional | 55 · Aftercare only | $0.50 | $0.51 | $0.51 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.34 Typical High $0.34 | Professional | 56 · Pre-op care only | $0.34 | $0.34 | $0.34 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $12.88 | Facility | None | $3.89 | $3.89 | $12.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $12.88 | Professional | None | $11.22 | $11.22 | $12.88 |
United Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $81.28 | Professional | None | $30.90 | $33.11 | $81.28 |
Where Pennsylvania sits
The same service costs 9.1 times more in Rhode Island than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 43rd of 51
$3.89
RI $30.90FL $3.39
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.